|
•\
<br />;,
<br />INSPECTION RECORD
<br />DATE COMPLIANCE
<br />/Z-Z--8,'i!.-/vos,,d!.fAC(NC, /\JoTm:) 2.
<br />S-2S -83 µ, S:i.,f/,Zr/!C/,..,G 'lo~----
<br />.lttvontl!Jt2 -rwv J:::. :) 2
<br />-------
<br />11 ·7-)$'> NC> $V€Fl".C<"-'j t,.)<;.,.-e:Q
<br />2 ._u -~7 ,'\Jo ,S:v .'Zr-A-c,,u,1 No :El?
<br />,..,
<br />"'--
<br />'Z..
<br />~ ~ ,•
<br />PUMPOUT RECORD
<br />DATE GALLONS
<br />1_ e,e,
<br /><?-Jo
<br />/__~--00
<br />2000 (
<br />(
<br />I
<br />\
<br />I
<br />I
<br />I
<br />rl
<br />" ()tf
<br />~3
<br />I •
<br />LOCATION
<br />KETCH
<br />!-
<br />~1,v
<br />0 I?
<br />I
<br />I
<br />1' efi" v:J v>,-:,'D
<br />2'-/
<br />t123b --~:
<br />?
<br />C -CONFORMING S -SUBSTANDARD N -NONCONFORMING
<br />.',· 1 ...
<br />.. ~.;·~
<br />;·;\·:·
<br />. ~-)•!'. ' ... ?
<br />·• ··.:;"
<br />'.\'}
<br />; .. -
<br />',;'·';
<br />~ I • ,\~~:;
<br />'i •>
<br />'·!,J
<br />,.::t:-'
<br />. ;r·>.
<br />'r. !,,'
<br />~-i.
<br />,_.·:
<br />~I
<br />I
<br />jlnclude :
<br />' (
<br />1) Well location
<br />2) Distance from house to
<br />septic tanks, dist . box,
<br />and drainfield
<br />3) North arrow and road
<br />EA'f st Pe ,e.J:>,
<br />J,,
<br />{ :·'. ,·.
<br />' 1)
<br />/'. : -t
<br />:\·
<br />;,
<br />:'{
<br />-· ii;, ,,
<br />.•. ,.
<br />1:,
<br />. •Sf,
<br />~ ,~.
<br />·-~·
<br />t)
<br />~{ .
<br />·.,
<br />,;.,
<br />•}:·.
<br />,,· .··:
<br />,
<br />.\
<br />tJ
<br />f
<br />~
|